Ask Dr. Berman: Could Testosterone Save My Sex Life?

Testosterone is a crucial hormone that helps your body to function at its highest level. In men, testosterone is produced in the testes, and in women, it is produced in the ovaries. Although men are estimated to make nearly 10 times more testosterone than women, it is still a very important hormone for women. It helps with the development of the body, mental functioning and metabolism. It is particularly important for young boys as they mature into men, as it deepens the voice, increases body hair, and helps with the development of the genitals.

It also plays an important role in sexual desire (for both men and women), which is why you are correct in your supposition that your low testosterone can impact your libido. One interesting study found that men who fall in love experience a dip in testosterone, while women experience an increase in the hormone. But, while you might experience a natural boost of testosterone when you meet someone you fancy, it won’t work as a long-term way to stabilize your hormones. This is why many people consider Testosterone Replacement Therapy (TRT).

While testosterone is not right for everyone, it should be considered by you and a doctor because it increases genital sensation and libido. Though possible side effects can include the development of male characteristics such as increased facial or body hair and a deepened voice, the right dosage, monitored consistently by your physician, usually prevents this from happening. Also, it's important to get your liver tested before taking testosterone replacement, since it can be affected.

Aside from sexual function, even the smallest amount of testosterone has been shown to boost energy and well-being in menopausal women. However, keep in mind that testosterone therapy needs to be considered on an individual basis, and that estrogen and/or progesterone replacement may be something to explore as well. Since hormone replacement therapy has been found to be associated with a higher risk of heart disease, stroke, and breast cancer in some women, only you and your doctor can make the right decision for your particular circumstances.

 — Dr. Laura Berman